Individual
DR. BLANE T SHATKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7800 SHERIDAN ST FL 1, PEMBROKE PINES, FL 33024-2536
(954) 883-8014
(954) 986-8306
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
ME0059767
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
ME0059767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019128800
—
FL
Enumeration date
07/17/2006
Last updated
03/18/2021
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